Individual
MR. JAMES T BOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
122 1ST AVE STE 400, FAIRBANKS, AK 99701-4871
(907) 843-1538
Mailing address
PO BOX 72775, FAIRBANKS, AK 99707-2775
(907) 843-1538
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1396
AK
Other
Enumeration date
10/31/2011
Last updated
06/07/2021
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